Agenda - 09-22-1980 - Laserfiche WebLink

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N� 3 3 4 Carolina Medicaid program. 4. To accept. as ' a ent in full.. the reimbursement rates as listed in Addenda A, B, C, and D- s. Not to charge a recipient or any other person, related or nonrel,ated, for covered items and services for which the recipient would be entitled to have payment made under Medicaid, and to make provision for the return or other disposition of funds incorrectly collected. To ' provide to a patient a statement of the amount for which the patient is actually liable in a spend down situation upon refunding collected money to a recipient: who is retroactively eligible for Medicaid services, to then bill. Medicaid for the reimbursable service_ Amounts in excess of authorized cost sharing paid to a:' provider by a recipient or other person for which the recipient is entitled to payment on his behalf under Medicaid con - �i stitute moneys- eys incorrectly collected_ A payment by an �I . individual to a provider which was proper' when made is 3j an incorrect payment when the individual. is ,;retroactive= i f ly entitled to Medicaid benefits~ the provider may r s charge the patient or another person for iteaes and �. -services not covered under the North Carolina Medicaid program. i s